Kuqhelekile ukuziva usoyika kwaye wothukile xa ugqirha womntwana wakho ekuxelela ukuba kukho umngxuma entliziyweni yakhe. Usenokuba ucinga, "Owu Thixo wam, kwenzeke ntoni kumntwana wam?" Kodwa ungakhathazeki. Le meko ixhaphake kakhulu kwezonyango. Namhlanje siza kuthetha ngalo mngxuma entliziyweni, esiwubiza ngokuba yi-`(Atrial Septal Defect - ASD)` kwezonyango, kunye nonyango olusetyenziswa ukuyinyanga, oluyi-`(ASD Closure)`.
Ngamafutshane, yintoni i-ASD?
Intliziyo yethu ineegumbi ezine eziphambili. Amagumbi amabini aphezulu abizwa ngokuba yi-atria. Kukho udonga (septum) phakathi kwezi atria zimbini. I-Atrial Septal Defect (ASD) ngumngxuma ongaqhelekanga kolu donga.
Cinga ngayo, phantse wonke umntwana uzalwa enomngxuma omncinci kolu donga. Yinto eqhelekileyo leyo. Lo mngxuma uzivaleka ngokwawo kwiiveki okanye kwiinyanga ezimbalwa emva kokuba umntwana ezelwe. Kodwa ngamanye amaxesha, lo mngxuma unokuba mkhulu kancinci, okanye ungakwazi ukuzivaleka ngokwawo. Kulapho ke siwubiza ngokuba yi-ASD.
Ingaba lo mngxuma kufuneka uvalwe? Ngubani ofuna olu nyango?
Ukuba umngxuma mncinane kakhulu , usenokungabangeli ngxaki. Mhlawumbi akufuneki unyango. Kodwa ukuba umngxuma mkhulu, unokuba yingxaki.
Okwenzekayo kukuba ngenxa yalo mngxuma, igazi elivela kwelinye igumbi lentliziyo liqala ukuvuza liye kwigumbi elingafanelekanga. Emva koko intliziyo nemiphunga kufuneka isebenze nzima kunesiqhelo. Ekuhambeni kwexesha, oku kunokukhokelela kwiingxaki ezahlukeneyo.
Eyona nto ibalulekileyo kukunyanga oku ngaphambi kokuba kubekho iingxaki. Ngoko ke ukuba ugqirha wakho ucebisa olu tyando, musa ukoyika.
Iingxaki eziphambili ezinokubakho ngenxa yale meko zezi:
- Izingqisho zentliziyo ezingaqhelekanga, ezikwaziwa ngokuba ziimeko ze-`(Arrhythmia)`. Umzekelo, `(Atrial Fibrillation)` okanye `(Atrial Flutter)`.
- Ukwandiswa kwentliziyo.
- Ingozi yokusilela kwentliziyo.
- Uxinzelelo lwegazi oluphezulu emiphungeni (i-Pulmonary Hypertension).
- Ubunzima bokuphefumla.
- Ingozi yestroke.
Ukuba wena okanye umntwana wakho nisengozini yezi ngxaki, ugqirha wakho unokucebisa ukuba uvale umngxuma (ASD Closure). Kwakhona, ukuba wenza utyando lwesinye isifo sentliziyo, ugqirha wakho unokugqiba ekubeni uvale umngxuma ngaxeshanye. Olu tyando ludla ngokwenziwa kubantwana abancinci ukuthintela umonakalo wentliziyo kwixesha elizayo.
Ungawuvala njani umngxuma? Kukho iindlela ezimbini eziphambili!
Kukho iindlela ezimbini eziphambili ezisetyenziswayo ukuvala lo mngxuma: utyando lwentliziyo evulekileyo kunye neendlela ezingezizo zotyando ezisebenzisa i-catheter. Ugqirha wakho wentliziyo uya kugqiba ukuba yeyiphi indlela efanelekileyo kwimeko yakho.
| Indlela yonyango | Inkcazo |
|---|---|
| 1. Utyando lwentliziyo oluvulekileyo (Ukuvalwa kotyando) | Kule meko, kwenziwa utyando kwindawo yesifuba, olufikelela ngqo entliziyweni luze luvale umngxuma. I-patch eyenziweyo, ezinye izicwili zomzimba, okanye izitishi zingasetyenziselwa ukuvala umngxuma. Oku kwenziwa phantsi kwe-anesthesia eqhelekileyo. |
| 2. Ukuvalwa kweTranscatheter | Oku akudingi ukunqunyulwa okukhulu. Ityhubhu encinci kakhulu (i-catheter) idluliselwa ngemithambo yegazi kwindawo ye-groin ukuya entliziyweni, kwaye isixhobo esikhethekileyo (isixhobo sokuvala) sidluliselwa kuyo ukuvala umngxuma. Ixesha lokuphiliswa lifutshane, kwaye akukho silonda sikhulu siseleyo. |
Okungakumbi malunga nokuvalwa kweTranscatheter
Ukuba umngxuma osentliziyweni yakho mncinci kwaye awunazo ezinye iingxaki zentliziyo, le ndlela idla ngokukhethwa. Kule ndlela, isigulana asilali ngokupheleleyo. Kusetyenziswa i-sedation encinci. Ugqirha usebenzisa i-catheter efakwe nge-incision encinci e-groin ukuze akhokele i-catheter entliziyweni esebenzisa iindlela ze-X-ray kunye ne-echocardiogram. Isixhobo esivala umngxuma emva koko sibekwe ngokuchanekileyo kwaye i-catheter isusiwe. Ukubuyela esimeni kukhawuleza kakhulu ngale ndlela.
Kwenzeka ntoni emva konyango? Kuthatha ixesha elingakanani ukuchacha?
Ngokuxhomekeke kunyango olufumanayo, kunokufuneka uhlale esibhedlele usuku olunye okanye nangaphezulu. Iqela lezonyango liza kukubeka esweni ngokusondeleyo.
- Ukuba ukhe watyandwa ngokuvulelekileyo , kufuneka uphephe imisebenzi enzima efana nokuphakamisa izinto ezisindayo kangangeeveki ezimbalwa.
- Ukuba ubukhe watyandwa nge-catheter , ungabuyela kwimisebenzi yakho yesiqhelo kwisithuba seveki.
Emva konyango, amayeza okuthintela ukuqhekeka kwegazi kangangeenyanga ezi-6Kuya kufuneka uyithathe. Kwakhona, ingakumbi ukuba unyangwa ngamazinyo, ugqirha wakho uya kukucebisa ukuba uthathe amayeza okubulala iintsholongwane ukuthintela usulelo.
Eyona nto ibalulekileyo kukuqinisekisa ukuba uya kugqirha ngemihla ebekiweyo. Kuya kufuneka wenze iimvavanyo ezininzi, ezifana ne-"Echocardiogram" kunye ne-"Electrocardiogram - ECG", ukuze ubone ukuba unyango luphumelele na.
Ngaba kukho naziphi na iingozi kolu nyango?
Njengakwezinye iindlela zonyango, kukho iingozi ezincinci. Nangona kunjalo, ngokubanzi lunyango olukhuselekileyo nolusebenzayo. Iingozi ezinokubakho zezi:
- Ukunganyamezelani nezinto ezisetyenziswa kunyango.
- Ukuphazamiseka kwentliziyo (i-Arrhythmia).
- Ukopha.
- Ukonakala kwezicubu zentliziyo okanye imithambo yegazi (oku kunqabile kakhulu).
- Usulelo olujikeleze inxeba okanye isixhobo esivale umngxuma.
- Istroke okanye uhlaselo lwe-Ischemic olukhawulezileyo.
Ugqirha wakho uza kuthetha nawe ngale mingcipheko. Akukho nto inokubangela ixhala, uninzi lwexesha ezi zinto azenzeki.
Kuphantsi kweziphi iimeko apho kufuneka ubone ugqirha ngokukhawuleza?
Ukuba ufumana naziphi na iimpawu zesilumkiso emva konyango lwakho, kufuneka ufowunele ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| - Igazi, ubomvu, okanye olunye ulwelo oluphuma kwinxeba. | - Iintlungu zesifuba. |
| - Ukulahlekelwa zingqondo okanye ukudideka. | - Ifiva. |
| - Intlungu ayinyuki okanye iyancipha nangona usela amayeza okudambisa iintlungu. | - Ubunzima bokuphefumla. |
| - Utshintsho kwisingqisho sentliziyo (ukuziva ngathi kukubetha esifubeni). | |
Ukuqukumbela, i-ASD Closure lunyango olubaluleke kakhulu olukhusela impilo yentliziyo nemiphunga, lunceda wena okanye umntwana wakho ukuba niphile ubomi obude nobunempilo.
Umyalezo Wokuya Ekhaya
- I-atrial septal defect (ASD) ngumngxuma eludongeni phakathi kwamagumbi amabini aphezulu entliziyo.
- Ngenxa yokuba imingxunya emikhulu ibeka uxinzelelo olungakumbi entliziyweni nasemiphungeni, kubalulekile ukuyivala ukuze kuthintelwe iingxaki ezizayo.
- Kukho utyando lwentliziyo evulekileyo kunye neendlela ezingezizo zotyando ezisebenzisa i-catheter ukuvala oku. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
- Emva konyango, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo kunye nokuya kwiikliniki ngemihla ebekiweyo.
- Olu nyango luyandisa ixesha lokuphila kwaye lunceda kakhulu ekuphileni ubomi obusempilweni.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment